Provider Demographics
NPI:1750902698
Name:CAZARES, ANDREINA (MS)
Entity type:Individual
Prefix:
First Name:ANDREINA
Middle Name:
Last Name:CAZARES
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8260 S HARDY DR
Mailing Address - Street 2:
Mailing Address - City:TEMPE
Mailing Address - State:AZ
Mailing Address - Zip Code:85284-2008
Mailing Address - Country:US
Mailing Address - Phone:602-921-2373
Mailing Address - Fax:
Practice Address - Street 1:8260 S HARDY DR
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85284-2008
Practice Address - Country:US
Practice Address - Phone:602-921-2373
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-05-01
Last Update Date:2024-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst